Jump to content

Topics About 'Gastroenterology'.

These are topics that staff believe are closely related. If you want to search all posts for a phrase or term please use the Search feature.

Found 2 results

  1. Gastroenterology (GI) Nurses specialize in gastrointestinal issues and diseases of the stomach, esophagus, and bowel. The GI Nurse must possess excellent communication skills, the ability to perform rapid patient assessments, and have good hand-eye coordination skills. Depending on the practice, patients of all ages may be seen and treated for a variety of GI issues. GI Disorders (not all-inclusive) Irritable Bowel Syndrome Cancer Gastroesophageal Reflux Disease (GERD) Diverticulosis Constipation Chron's Disease GI conditions related to stress and depression Food Allergies Rectal bleeding Practice Settings Hospital GI lab Out-patient clinic Research areas/facilities Industry vendors Equipment company Pharmacological company Private office Free-standing clinic Duties Assist during endoscopic procedures Provide pre- and post-op care Administer conscious sedation Monitor and recover patients Patient follow-up; track procedures to include patient satisfaction and outcome Patient and family education regarding treatment and management options Becoming familiar with equipment and techniques used in the GI Lab, as well as cleaning, maintaining, and disinfecting of the equipment, is part of essential duties and responsibilities. Procedures Endoscopies, including treatments for gastric ulcers and duodenal ulcers Colonoscopies Foreign body removal ERCP (endoscopic retrograde cholangio-pancreatography) Gastrostomy tube placement Various treatments for cirrhosis and portal hypertension Sclerotherapy Banding Glue injections Esophageal or duodenal stricture dilation Endoscopic polypectomies Esophageal stenting Advanced Practice Nurses (APRN) such as Clinical Nurse Specialists (CNS) and Nurse Practitioners (NP) may work in the area of Gastroenterology, specializing in research and the management of patients with GI and/or liver diseases. Some NP's have received rigorous education and training in order to perform colonoscopies. Education Graduate from an accredited school of nursing Successfully pass the NCLEX-RN Possess a current, unencumbered Registered Nurse (RN) license in the U.S. state of practice RNs may be hired as Gastroenterology Nurses after a year or two of experience as a Medical/Surgical, ED or ICU nurse. Some departments may hire new graduates although most prefer prior nursing experience. Professional Organizations and Resources American Board of Certification for Gastroenterology Nurses (ABCGN) - "Its purpose is to maintain and improve the knowledge, understanding and skill of nurses in the fields of gastroenterology and gastroenterology endoscopy by developing and administering a certification program". American Gastroenterological Association (AGA) - "Advancing the Science and Practice of Gastroenterology" The Society of Gastroenterology Nurses and Associates (SGNA) is, "a professional organization of nurses and associates dedicated to the safe and effective practice of gastroenterology and endoscopy nursing". Gastroenterology Nursing is the official journal of the SGNA. The American Society for Gastrointestinal Endoscopy (ASGE) provides comprehensive material for Physicians as well as patient-centered resources. Certifications American Board of Certification for Gastroenterology Nurses (ABCGN) The ABCGN offers the Certified Gastroenterology Registered Nurse (CGRN) certification and re-certification examinations. This credential is accredited by the Accreditation Board for Specialty Nursing Certification (ABSNC). Eligibility (not all-inclusive) Employment in clinical, supervisory, administrative, teaching/education or research capacities; minimum 2 years full-time or its part-time equivalent of 4000 hours, within the past 5 years in GI/endoscopy Work experience must be as an RN (I.e., an LPN who has become an RN must have two years experience as an RN prior to sitting for the CGRN designation regardless of the number of years of GI experience as an LPN.) Full-time industry nurses whose focus is at least 40% clinical practice, education, or research are eligible; focus in sales is not accepted Current/unencumbered RN license in the U.S. Advanced Cardiac Life Support (ACLS) is usually required if the GI Nurse is administering conscious sedation. The American Heart Association (AHA) offers ACLS courses for healthcare professionals managing cardiovascular emergencies during specialty procedures. Salary (2020) According to ZipRecruiter, the average annual pay for a Gastroenterology Nurse in the U.S. is $106,624 per year with salaries currently ranging between $80,000 to $120,000 across the U.S. ZipRecruiter also lists the average Gastroenterology NP salary by each U.S. state. As the field of Gastroenterology develops new procedures and techniques, married to technology advances, the need for experienced RN's is expected to increase, making for a favorable job market. The highest areas of growth are projected to be private physician's offices and clinics. Choosing a Specialty but not sure which one is best for you? Download Nursing Specialties Guide!
  2. To set the scene, I was a new grad working in the hospital, the Mayo Clinic to be exact, and although the general medical-surgical floor I was working on provided challenge, variety, and fantastic training as a newbie nurse - I was not a fan of the work-life balance. Enduring the typical evening / overnight shift rotation that left me without sleep, with an abundance of frustration since I was going to work when everyone else with "normal jobs" was getting off work, and I wanted something that provided a procedural component. I thought of the operating room, cardiac catheterization lab, interventional radiology, etc. My friend at the time was working at a different hospital in the endoscopy center - which I truthfully at time knew very little about aside from the humorous component of experiencing post-colonoscopy patient's farting during clinicals in nursing school and sometimes in hospital wings I walked by. Or, to be professionally sensitive, the "passing of air" after the exam. This was not the huge pull-factor that brought me to endoscopy, but I can vouch for you now that it does provide some comic relief to the recovery component of working at a GI center as I do at the current day. The Training The training involved to work at a typical endoscopy center, using mine as an example, usually requires 1 year or more of hospital experience (no specific area needed), and a BSN degree. Training typically involves 4-6 weeks of working with a preceptor nurse and orienting yourself in a more detailed sense of the digestive tract, specifically the colon since the majority of our exams involve colonoscopy or flexible sigmoidoscopy (condensed version of colonoscopy). We perform upper endoscopies as well, so being oriented with the upper GI tract is helpful, and is a big part of orientation. Most centers have a break down of an admitting, procedural, and recovery area. You flow through these during the week, which helps to provide variety. It is a unique way to liven up a job that for some people over time would become easily and understandably mundane and dull if you worked in the very same area each and every or on a not-so-even rotation. Admitting Admitting patient's involves going through a medical questionnaire with them to rule out any critical cardiac, respiratory, renal, etc. issues as well as any difficulties or complications receiving anesthesia in the past. Most centers use Propofol sedation now with the aid of CRNA's, which is a unique and positive component of this job, as you get to really get know that staff rather than be just a nameless nurse in navy blue to them. This occurs in the procedure room, where you work with them 8-10 hours a day. Anyway, back to admitting, where you interview patient's about their specific health history, typical bowel habits, prep results (which always provides some comic relief and tends to help ease anxiety as you ask of them to describe their bowel movements color and consistency). We want clear yellow. Think pooping urine. That makes us happy and gives us good results. Starting IV's is the trickiest, yet most rewarding component of admitting in my opinion. These patient's are tremendously dehydrated, "hangry" from the fasting and the prep, and present quite the IV initiation challenge. It is a great place to really hone in on that skill. Procedure Room Next up, procedure room. Will keep it short and sweet. It is awesome. Work with GI doc's all day as well as CRNA's. We perform colonoscopies, flexible sigmoidoscopes, and upper endoscopies. Working alongside the physician, you assist with polyp removal - which takes on many various forms that you become very well acquainted with in training - as well as perform various other interventions: esophageal dilation, cauterization, biopsies, colonic tattoos - that's right, I said tattoo's in the colon. To mark polyp sites. All interesting, ever-changing, and provides upbeat challenge as many patient's present with various symptoms, potential diagnoses, and always a balancing act when working with CRNA and physician to keep the patient safe, sedated, comfortable, and ensuring complete interventions during procedures. Recovery We will end it with a bang, or a "toot" - recovery. Fart nation. Just kidding - but the first week in this area you do find yourself smirking as patient's shift over to their side and let out large gusts of room air that we insert in their colon during the procedure. This is where another big nursing skill comes out of the woodwork - EDUCATION. Patient education in this area, enforcing compliance with routine screenings, explaining the "what's next" of their new diagnosis, discussing new medications we have prescribed or suggest, genetic counseling, management of patient's who come out of the exam with complications. One big melting pot and variety pack and allows for great growth in independence and the ability to manage several patient's at once and the reward of seeing patient's leave with answers, polyps removed, cancer prevented... all in one day's work. Endoscopy / gastroenterology is a hidden gem of nursing I feel. Dare I say, it is the "polyp in the rough" of specialties. Terrible joke, but an absolutely awesome area to work in. Great teamwork with staff, passionate individuals, job security, providing Crohn's / colitis care to the ever-growing population who are unfortunately dealing with those illnesses, colon cancer prevention every single day in a multitude of ways... I am happy and thankful to be working in such an area and I hope this description answers many questions for you and provides you with a thorough look at the day as a endoscopy RN - who is not afraid of a little butts 'n guts!